- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00122109
Telemedicine and Anger Management Groups With PTSD Veterans in the Hawaiian Islands
Telemedicine and Anger Management Groups for PTSD Veterans in the Hawaiian Islands
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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Hawaii
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Honolulu, Hawaii, États-Unis, 96819-1522
- VA Pacific Islands Health Care System, Honolulu, HI
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- male
- PTSD diagnosis
- anger level at Staxi Trait Score=22 or higher
- stable medication regime
Exclusion Criteria:
- current substance dependence
- current psychosis
- suicidal
- homicidal
- cognitive impairment
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Expérimental: Videoteleconferencing AMT
The experimental arm is the group condition that received the AMT treatment intervention via a videoteleconferencing modality as compared to the control condition which is the traditional face-to-face modality. Behavioral: 12 sessions Anger Management Therapy. Anger Management Treatment (AMT), a 12-session manual-driven cognitive-behavioral intervention developed and found efficacious for anger management treatment with substance abuse veterans and has been applied to the PTSD population. AMT is highly structured with both psychoeducational and psychotherapy components. AMT is aimed at reducing anger affect and aggression through increasing anger management skills. |
Anger Management Treatment (AMT), a 12-session manual-driven cognitive-behavioral intervention developed and found efficacious for anger management treatment with substance abuse veterans and has been applied to the PTSD population.
AMT is highly structured with both psychoeducational and psychotherapy components.
AMT is aimed at reducing anger affect and aggression through increasing anger management skills.
Autres noms:
|
Comparateur actif: Face to Face AMT
The control arm is the group condition that received the AMT treatment intervention via a traditional face-to-face modality as compared to the experimental condition which is the videoteleconferencing modality. Behavioral: 12 sessions Anger Management Therapy. Anger Management Treatment (AMT), a 12-session manual-driven cognitive-behavioral intervention developed and found efficacious for anger management treatment with substance abuse veterans and has been applied to the PTSD population. AMT is highly structured with both psychoeducational and psychotherapy components. AMT is aimed at reducing anger affect and aggression through increasing anger management skills. |
Anger Management Treatment (AMT), a 12-session manual-driven cognitive-behavioral intervention developed and found efficacious for anger management treatment with substance abuse veterans and has been applied to the PTSD population.
AMT is highly structured with both psychoeducational and psychotherapy components.
AMT is aimed at reducing anger affect and aggression through increasing anger management skills.
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
State-Trait Anger Inventory (STAXI-2) Anger Expression Index
Délai: Baseline
|
Anger expression was measured using the STAXI-2's 32-item Anger Expression Index (range 0 - 96).
The STAXI-2 subscale have robust psychometric properties including high internal consistency, external validity, and construct validity.
The Anger Expression Index provides a general measure of anger expression; assessing one's experience, expression and efforts to control anger.
Higher scores indicate more problematic levels of anger and its expression.
|
Baseline
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State-Trait Anger Inventory (STAXI-2) Anger Expression Subscale
Délai: Post-treatment (2 weeks following last treatment session)
|
Anger expression was measured using the STAXI-2's 32-item Anger Expression Index (range 0 - 96).
The STAXI-2 subscale have robust psychometric properties including high internal consistency, external validity, and construct validity.
The Anger Expression Index provides a general measure of anger expression; assessing one's experience, expression and efforts to control anger.
Higher scores indicate more problematic levels of anger and its expression.
|
Post-treatment (2 weeks following last treatment session)
|
State-Trait Anger Inventory (STAXI-2) Anger Expression Subscale
Délai: 3-month Follow Up
|
Anger expression was measured using the STAXI-2's 32-item Anger Expression Index (range 0 - 96).
The STAXI-2 subscale have robust psychometric properties including high internal consistency, external validity, and construct validity.
The Anger Expression Index provides a general measure of anger expression; assessing one's experience, expression and efforts to control anger.
Higher scores indicate more problematic levels of anger and its expression.
|
3-month Follow Up
|
State-Trait Anger Inventory (STAXI-2) Anger Expression Subscale
Délai: 6-month Follow Up
|
Anger expression was measured using the STAXI-2's 32-item Anger Expression Index (range 0 - 96).
The STAXI-2 subscale have robust psychometric properties including high internal consistency, external validity, and construct validity.
The Anger Expression Index provides a general measure of anger expression; assessing one's experience, expression and efforts to control anger.
Higher scores indicate more problematic levels of anger and its expression.
|
6-month Follow Up
|
Novaco Anger Scale (NAS)
Délai: Baseline
|
Anger disposition was assessed using the total scale score from the Novaco Anger Scale.
This 60-item measure (range = 60 - 180) is a well validated self-report instrument designed to measure cognitive, arousal, and behavioral aspects of anger in both clinical and non-patient populations.
Higher scores indicate more anger-related symptoms.
|
Baseline
|
Novaco Anger Scale (NAS)
Délai: Post-treatment (2 weeks following last treatment session)
|
Anger disposition was assessed using the total scale score from the Novaco Anger Scale.
This 60-item measure (range = 60 - 180) is a well validated self-report instrument designed to measure cognitive, arousal, and behavioral aspects of anger in both clinical and non-patient populations.
Higher scores indicate more anger-related symptoms.
|
Post-treatment (2 weeks following last treatment session)
|
Novaco Anger Scale (NAS)
Délai: 3-Month Follow Up
|
Anger disposition was assessed using the total scale score from the Novaco Anger Scale.
This 60-item measure (range = 60 - 180) is a well validated self-report instrument designed to measure cognitive, arousal, and behavioral aspects of anger in both clinical and non-patient populations.
Higher scores indicate more anger-related symptoms.
|
3-Month Follow Up
|
Novaco Anger Scale (NAS)
Délai: 6-Month Follow Up
|
Anger disposition was assessed using the total scale score from the Novaco Anger Scale.
This 60-item measure (range = 60 - 180) is a well validated self-report instrument designed to measure cognitive, arousal, and behavioral aspects of anger in both clinical and non-patient populations.
Higher scores indicate more anger-related symptoms.
|
6-Month Follow Up
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
PTSD Checklist-military Version (PCL-M)
Délai: Baseline
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Self report that measures severity of PTSD symptoms.
The PCL-M measures the 17 cardinal symptoms of PTSD as described in the DSM-IV-TR.
The scale ranges from 0 - 85 with higher scores indicating worse PTSD symptoms.
PTSD symptoms were measured at baseline and post-treatment only.
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Baseline
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PTSD Checklist-military Version (PCL-M)
Délai: Post-treatment (2 weeks following last treatment session)
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Self report that measures severity of PTSD symptoms.
The PCL-M measures the 17 cardinal symptoms of PTSD as described in the DSM-IV-TR.
The scale ranges from 0 - 85 with higher scores indicating worse PTSD symptoms.
PTSD symptoms were measured at baseline and post-treatment only.
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Post-treatment (2 weeks following last treatment session)
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Collaborateurs et enquêteurs
Parrainer
Publications et liens utiles
Publications générales
- Greene CJ, Morland LA, Durkalski VL, Frueh BC. Noninferiority and equivalence designs: issues and implications for mental health research. J Trauma Stress. 2008 Oct;21(5):433-9. doi: 10.1002/jts.20367.
- Greene CJ, Morland LA, Macdonald A, Frueh BC, Grubbs KM, Rosen CS. How does tele-mental health affect group therapy process? Secondary analysis of a noninferiority trial. J Consult Clin Psychol. 2010 Oct;78(5):746-50. doi: 10.1037/a0020158.
- Morland LA, Greene CJ, Rosen CS, Foy D, Reilly P, Shore J, He Q, Frueh BC. Telemedicine for anger management therapy in a rural population of combat veterans with posttraumatic stress disorder: a randomized noninferiority trial. J Clin Psychiatry. 2010 Jul;71(7):855-63. doi: 10.4088/JCP.09m05604blu. Epub 2010 Jan 26.
- Gros DF, Gros K, Acierno R, Frueh BC, Moreland L. Relation between treatment satisfaction and treatment outcome in veterans with posttraumatic stress disorder. Journal of psychopathology and behavioral assessment. 2013 Jun 28; 35(4):522-30.
- Macdonald A, Greene CJ, Torres JG, Frueh BC, Morland LA. Concordance between clinician-assessed and self-report ratings of posttraumatic stress disorder across three ethnoracial groups. Psychological trauma : theory, research, practice and policy. 2012 Jan 1; 24:doi: 10.1037/a0027313.
- Morland LA, Greene CJ, Grubbs K, Kloezeman K, Mackintosh MA, Rosen C, Frueh BC. Therapist adherence to manualized cognitive-behavioral therapy for anger management delivered to veterans with PTSD via videoconferencing. J Clin Psychol. 2011 Jun;67(6):629-38. doi: 10.1002/jclp.20779. Epub 2011 Feb 25.
- Mackintosh MA, Morland LA, Kloezeman K, Greene CJ, Rosen CS, Elhai JD, Frueh BC. Predictors of anger treatment outcomes. J Clin Psychol. 2014 Oct;70(10):905-13. doi: 10.1002/jclp.22095. Epub 2014 Apr 17.
- Morland LA, Raab M, Mackintosh MA, Rosen CS, Dismuke CE, Greene CJ, Frueh BC. Telemedicine: a cost-reducing means of delivering psychotherapy to rural combat veterans with PTSD. Telemed J E Health. 2013 Oct;19(10):754-9. doi: 10.1089/tmj.2012.0298. Epub 2013 Aug 9.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- TEL 03-080
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Essais cliniques sur 12 sessions Anger Management Therapy.
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Trinity Hypertension & Metabolic Research InstituteWake Forest University Health SciencesRecrutement